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Furm 390
Nepartifically 1360312
12
Name adam Richie
Age, 33. years
Declaration ofinlance No 3006
issuedly of District
Walebury
onlhe
all day of April
Delision, Vill VIII 111825
signediun, the 15 day of
march
19.1920
Mayer, age and plane afresidence of wife:
sabille 30ys
225 Wood St, Waturuly One
Names ayes, sand places infrasidence
children
adaw leyr,
225lbood St,
loatubuy, Come
adam Ritchir
(Signature of hotder.)
Now Old Certificate No No 1360312 Received
Date. april 10
1920
adam Ritikia
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"ocrText": "Furm 390\nNepartifically 1360312\n12\nName adam Richie\nAge, 33. years\nDeclaration ofinlance No 3006\nissuedly of District\nWalebury\nonlhe\nall day of April\nDelision, Vill VIII 111825\nsignediun, the 15 day of\nmarch\n19.1920\nMayer, age and plane afresidence of wife:\nsabille 30ys\n225 Wood St, Waturuly One\nNames ayes, sand places infrasidence\nchildren\nadaw leyr,\n225lbood St,\nloatubuy, Come\nadam Ritchir\n(Signature of hotder.)\nNow Old Certificate No No 1360312 Received\nDate. april 10\n1920\nadam Ritikia"
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